1. Documenting formal long term care systems in SSA
Akrowa Aged Life Foundation
Ghana

2. Outline Background Family interface with formal LTC provision
Promising features
Challenges and opportunities

3. Introduction Formation: Akrowa established as NGO in 2006
Location: Operational in 6 districts in Ga East municipality
Service type: community volunteer based care provision
Scope: 14 volunteers to 160 clients
Management: day to day; board; committee of beneficiaries
Financing: cash and in-kind (board, Pentecost and founder)

4. Family interface with LTC provision
Family engagement/responsiveness to family wishes
Perspectives on interaction with family obligations to care (clients and families)

5. Promising features Provision of quality care (person centered)
Equity of access to the service (not quite there, plans for an institution)
Integration of long-term and medical care (nursing college, Pentecost hospital)
Fair conditions/opportunities for care workers (free health care, flexible working days, free training, bicycles)
Sustainability of financing and workforce (partnerships)

6. Challenges and opportunities
No standard curriculum - geriatric curriculum
Limited resources - Danish partners
Capacity of workforce (school of nursing training, accreditation, and remuneration)